11 Types of Data Exchange Direct Push One to one A mechanism to securely transmit encrypted patient information to an authenticated provider via the internet. An Electronic FAX Query-based Push Pull One to many Allows providers the ability to query and retrieve patient information via a secure connection with other providers. Web Search 11

12 Why is HIT Important: Clinical Decision Support (CDS) A variety of approaches for delivering clinical knowledge, and intelligently filtered information, to clinicians and patients for the purpose of improving healthcare processes and outcomes* Making the right thing to do the easiest thing to do * Paraphrased from: Osheroff, M. D., et al. Improving outcomes with clinical decision support: an implementer's guide. (2012). 12

14 Why is HIT Important: Quality Improvement Minnesota where all the women are strong, all the men are goodlooking, and all the children are above average But how do we know 14

15 To prove it, one needs data If you can not measure it, you can not improve it. William Thomson (Lord Kelvin) Lecture on "Electrical Units of Measurement" (3 May 1883) paraphrased 15

16 Why is HIT Important: Health Care Reform Moving away from an episodic, fee for service payment approach and towards a coordinated model that is focused on delivering high-quality, low-cost care across the continuum of care. 16

21 What it can do for you Notification of patient admission and discharge Rapid order request and transmittal Telemedicine and remote monitoring Ability to measure and document performance Improved medication reconcilliation 21

22 Home Health and Hospice use of HIT, 2007 Resnick, Helaine E., and Majd Alwan. "Use of health information technology in home health and hospice agencies: United States, 2007." Journal of the American Medical Informatics Association 17.4 (2010):

23 Functionalities used by those with only mobile devices Home health and hospice care agencies with mobile technology, by functionality used Resnick, Helaine E., and Majd Alwan. "Use of health information technology in home health and hospice agencies: United States, 2007." Journal of the American Medical Informatics Association 17.4 (2010):

24 Functionalities used by those with only EHRs Home health and hospice care agencies with electronic health records, by functionality used Resnick, Helaine E., and Majd Alwan. "Use of health information technology in home health and hospice agencies: United States, 2007." Journal of the American Medical Informatics Association 17.4 (2010):

25 Functionalities used by those with both EHRs & mobile devices Home health and hospice care agencies with both electronic health records and mobile technology, by functionalities used Resnick, Helaine E., and Majd Alwan. "Use of health information technology in home health and hospice agencies: United States, 2007." Journal of the American Medical Informatics Association 17.4 (2010):

30 Emphasis is on Adopt Tools Number of Tools in Each Section 10 tools 23 tools 33 (50% of all tools just to get started!) Adopt tools Use tools Optimize tools 30

31 Productivity Minimizing the Challenges depends on Preparation Implemented and Supported Little or No HIT Implement EHR Leadership and management determine how long you re in the valley of despair Good choices and management determine level of productivity and satisfaction Choices, planning, and execution determine extent of slide Valley of Despair Possible Future Slide derived from Dr. Norman Okamoro, University of Hawaii Time 31

32 One Caution Beware of Puppies! 32

33 Favorite Adopt Tools Communication Plan Most important single change management technique Gives examples of type of communication Provides a matrix that you can use 33

34 Favorite Adopt Tools Due Diligence Helps you analyze vendor responses Allows you to compare apples to apples Provides a matrix that you can use 34

35 Half Done! Onward Implement and Use! 10 tools 23 tools 33 (50% of all tools just to get started!) Vision strong enough Leadership in place Plans set and communicated Management demonstrated Choices well made Execution possible Conditions set to move quickly through the Valley of Despair 35

36 Favorite Use Tools Issues List Acknowledge that there will be issues Provides a consistent method to track issues Give you a matrix so you can get started 36

37 Favorite Use Tools Training Plan Helps with the go-live planning Assures everyone is trained Provides a matrix for you to use for planning 37

38 Favorite Use Tools Ongoing HIE Partner Communications Focuses on one of the key benefits of HIT Helps identify and resolve issues Give you a matrix so you can get started 38

39 85% Done! Optimize 10 tools 23 tools 33 (50% of all tools just to get started!) System working Staff trained Clients informed and comfortable Exchange enabled You re part of the e-health world! 39

41 Getting to e-health Three Takeaways It s about change the biggest hurdle will be changing the way people work Don t look at puppies until you know what kind of dog you want A strong implementation of an OK product is better than a poor implementation of a great product 41

42 Step by Step Instructions On Using the Toolkit 42

43 Getting Started 1) On the home page, read the intro text, or just get going. 43

44 Overview Scroll down to the Overview Section In the Overview Section, Click View to gain access to the documents in this section. 44

45 Overview - Document Table The Overview Table gives a list of the documents (tools), available for viewing, in the Section For each tool in the section, you ll find a description of its: Tool Name Use Purpose (Action Inform) 4 Experience Level or 45

46 Understanding Experience Level Use the Experience Level symbols to decide if a document is appropriate for your type of organization: Skiers will recognize these symbols. Everyone should consider all tools with a green circle. Larger organizations and those with more IT experience may want to use tools with marked with the blue square or the black diamond. 46

47 Accessing the Tools To use a tool, click the link. 47

48 Using a Tool All documents have these attributes: 1 Title 1) 2) 2 Overview: high level explanation of the tool 3) 3 Time needed: how long you should expect to work with the tool 4) 4 Suggested other tools: associated or pre-requisite tools 5) 5 How to Use: Tips on how to use the tool 6) Body of the tool 6 48

49 Using More Tools Go back to the home page and scroll down to the Assess Section.Or select another section if you are farther along 49

50 Using More Tools continued In the Assess Section, Note the View/Hide the Overview tools link. Click the link to gain access to the documents in this section. Follow the steps we ve described to get the tools you want. 50

51 It s Easy Begin exploring and select one of the tools to start Experience level symbols help you find the tool that matches your organization s resources Time Requirements indicate level of effort Associated Tools help you find pre-requisites or similar tools How to Use lets you understand what you ll need to do with the tool 51

52 Final thoughts 52

53 In Conclusion Change is coming, do not get left behind Begin the process now Use the Stratis Health Toolkit to start your transformation 53

54 Contact Information: Paul Kleeberg, MD, FAAFP, FHIMSS Ph: Stratis Health is a nonprofit organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities. Prepared by Stratis Health, the Medicare Quality Improvement Organization for Minnesota, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 9SOW-MN

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